Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2022, Vol. 36 ›› Issue (4): 86-90.doi: 10.6040/j.issn.1673-3770.0.2021.375

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Factors affecting flap neurosis and other postoperative flap-related complications after free-flap reconstruction of head and neck tumors

ZHANG Lijun, XU Ran, LUO Jifang, LIU Guoqi, HE Qian, LI Wei, JIANG Zhenhua   

  1. Department of Otorhinolaryngology, Mianyang Central Hospital / Mianyang Hospital Affiliated to School of Medicine of University of Electronic Science and Technology of China, Mianyang 621000, Sichuan, China
  • Published:2022-07-11

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Abstract: Objective This study aimed to explore the factors affecting flap neurosis and other postoperative flap-related complications. Methods Patients who underwent free-flap reconstruction of head and neck tumors were examined. Factors such as of age, sex, operation duration, smoking, alcohol consumption, hypertension, diabetes, preoperative radiotherapy, vascular anastomosis skill on flap neurosis, and flap-related complications were analyzed. Results We observed that age, sex, operation duration, smoking, alcohol consumption, preoperative radiotherapy, and vascular anastomosis skill were not risk factors for flap neurosis and flap-related complications after free flap reconstruction in patients with head and neck tumors; Diabetes was observed to be a risk factor for flap failure after free-flap reconstruction in patients with head and neck tumors(P=0.006), whereas hypertension(P=0.040)and diabetes(P=0.024)were independent risk factors for flap-related complications. Conclusion Individualized reconstruction methods should be used in patients with head and neck tumors who are suffering from diabetes and are candidates for free-flap reconstruction.

Key words: Head and neck tumor, Free flap, Reconstruction, Risk factors, Surgery

CLC Number: 

  • R739.91
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